GLORIA

GEOMAR Library Ocean Research Information Access

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    In: Journal of Clinical Oncology, American Society of Clinical Oncology (ASCO), Vol. 38, No. 15_suppl ( 2020-05-20), p. 2033-2033
    Abstract: 2033 Background: Despite increasing evidence of benefit supporting CGP in personalizing cancer therapy, its widespread uptake remains limited. Barriers include low patient understanding, unmet patient expectations related to low utility, clinician concerns over cost-effectiveness, perceived value, and discomfort in management of complex genomic results. Methods: This prospective cross-institutional demonstration study was designed to evaluate implementation of CGP in the care of adult and paediatric advanced cancer pts, incorporating pt reported outcomes (PROMs), discrete choice experiment (DCE), ongoing process optimization and clinician evaluations. DNA sequencing of FFPE tumor and matched blood was completed with CGP (PMCC Comprehensive Cancer Panel; 391 genes) via central laboratory. A tumor board reported results weekly with emphasis on therapeutic relevance. Oncologists performed consent and results delivery. Pts completed pre-and post-test surveys, including validated and study-specific questions, DCE and if eligible, semi-structured interviews. Qualitative interviews were undertaken with study clinicians and laboratory staff to evaluate processes. Results: 86% (315) of 365 enrolled pts had successful CGP; of these 63% (199) had relevant therapeutic, diagnostic or germline results. 50 (16%) had treatment change at 6m, 49 (16%) had germline mutations. 293 (88% of adult pts) completed PROMs. 17 of 19 clinicians/laboratory staff approached consented to an interview. At consent pts cited multifaceted value in testing, showed good understanding of basic concepts, but most (69%) overestimated the likelihood of result-led change. Post-test pts remained consistently satisfied with accessing CGP; valuing research contribution, taking opportunities and information for family. 21% struggled with understanding results but there were low levels of decisional regret following participation (89% had nil/mild regret). Pt-elicited preferences (via DCE) indicated priority for high rates of clinical utility and timeliness. Clinicians sited collaboration and communication as critical to delivery of CGP. Conclusions: Pts undergoing CGP are generally satisfied, and derive value on its use beyond potential therapeutic benefit. Our results suggest that to improve test utility and delivery of CGP with value to pts and investing institution, focus must be placed on addressing the additional barriers to its wider implications including efforts to improve process efficiencies, clinician genomic literacy and decision-making support.
    Type of Medium: Online Resource
    ISSN: 0732-183X , 1527-7755
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Clinical Oncology (ASCO)
    Publication Date: 2020
    detail.hit.zdb_id: 2005181-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 2
    In: Journal of Diabetes Research, Hindawi Limited, Vol. 2016 ( 2016), p. 1-12
    Abstract: Background . Health literacy is the ability to access, understand, and use information and services for good health. Among people with chronic conditions, health literacy requirements for effective self-management are high. The Optimising Health Literacy and Access (Ophelia) study engaged diverse organisations in the codesign of interventions involving the Health Literacy Questionnaire (HLQ) needs assessment, followed by development and evaluation of interventions addressing identified needs. This study reports the process and outcomes of one of the nine organisations, the Royal District Nursing Service (RDNS). Methods . Participants were home nursing clients with diabetes. The intervention included tailored diabetes self-management education according to preferred learning style, a standardised diabetes education tool, resources, and teach-back method. Results . Needs analysis of 113 quota-sampled clients showed difficulties managing health and finding and appraising health information. The service-wide diabetes education intervention was applied to 24 clients. The intervention was well received by clients and nurses. Positive impacts on clients’ diabetes knowledge and behaviour were seen and nurses reported clear benefits to their practice. Conclusion . A structured method that supports healthcare services to codesign interventions that respond to the health literacy needs of their clients can lead to evidence-informed, sustainable practice changes that support clients to better understand effective diabetes self-management.
    Type of Medium: Online Resource
    ISSN: 2314-6745 , 2314-6753
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2016
    detail.hit.zdb_id: 2711897-6
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 3
    In: Collegian, Elsevier BV, Vol. 24, No. 6 ( 2017-12), p. 571-577
    Type of Medium: Online Resource
    ISSN: 1322-7696
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2017
    detail.hit.zdb_id: 2232118-4
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 4
    Online Resource
    Online Resource
    Wiley ; 2017
    In:  Journal of Clinical Nursing Vol. 26, No. 23-24 ( 2017-12), p. 4344-4352
    In: Journal of Clinical Nursing, Wiley, Vol. 26, No. 23-24 ( 2017-12), p. 4344-4352
    Abstract: To report on a study investigating questioning skills of clinical facilitators who support the learning of undergraduate nursing students. Background The ability to think critically is integral to decision‐making and the provision of safe and quality patient care. Developing students’ critical thinking skills is expected of those who supervise and facilitate student learning in the clinical setting. Models used to facilitate student learning in the clinical setting have changed over the years with clinicians having dual responsibility for patient care and facilitating student learning. Many of these nurses have no preparation for the educative role. This study adapted a comparative study conducted over fifteen years ago. Design Descriptive online survey including three acute care patient scenarios involving an undergraduate nursing student. Participants were required to identify the questions they would ask the student in relation to the scenario. Methods A total of 133 clinical facilitators including clinical teachers, clinical educators and preceptors from five large partner healthcare organisations of one Australian university participated. Results The majority of questions asked were knowledge questions, the lowest category in the cognitive domain requiring only simple recall of information. Facilitators who had undertaken an education‐related course/workshop or formal qualification asked significantly more questions from the higher cognitive level. Conclusion The study provides some evidence that nursing facilitators in the clinical setting ask students predominantly low‐level questions. Further research is needed to identify strategies that develop the capacity of facilitators to ask higher level cognitive questions. Relevance to clinical practice Clinical facilitators should undertake targeted education that focuses on how to frame questions for students that demand application, analysis, synthesis and evaluation.
    Type of Medium: Online Resource
    ISSN: 0962-1067 , 1365-2702
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2006661-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 2019
    In:  HERD: Health Environments Research & Design Journal Vol. 12, No. 3 ( 2019-07), p. 119-140
    In: HERD: Health Environments Research & Design Journal, SAGE Publications, Vol. 12, No. 3 ( 2019-07), p. 119-140
    Abstract: This review describes the facilitators and barriers impacting on passive access to green spaces within healthcare settings. A systematic mixed-studies review was undertaken to review the quantitative and qualitative evidence on access to green spaces within healthcare settings, as well as to review the methodological quality of the studies eligible for inclusion. A total of 24 articles met the inclusion criteria and were included in the review. The barriers to access were grouped into three themes: “awareness,” “accessibility,” and “comfort.” The facilitators were grouped into 13 themes: “flora and foliage,” “views,” “water features,” “sun, rain, fresh air, wind,” “animal life,” “diverse textures, heights, shapes,” “lawn,” “natural versus artificial material,” “rest areas,” “shade,” “private areas,” “play equipment,” and “safety.” These findings can be explained through multiple lenses, using existing theories on contact with nature and supportive garden design. In an era of elevated stress, patient admissions, and staff turnover in hospitals, and rising costs of providing healthcare services, the creation of settings conducive to health promotion, stress reduction, and faster recovery is relevant and timely. This article, which has collated over three decades of research evidence, is invaluable in addressing this issue.
    Type of Medium: Online Resource
    ISSN: 1937-5867 , 2167-5112
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2019
    detail.hit.zdb_id: 2525547-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 6
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2023
    In:  Family Practice Vol. 40, No. 3 ( 2023-05-31), p. 505-507
    In: Family Practice, Oxford University Press (OUP), Vol. 40, No. 3 ( 2023-05-31), p. 505-507
    Abstract: The expansion of telehealth during the COVID-19 pandemic can be further adapted and extended to align with principles of climate justice. We argue that high-emission countries with well-developed medical systems, like Australia, should support communities disproportionately impacted by climate change who request assistance, like in small island states of Oceania. Linking health services in small island states with neighbouring countries’ medical systems can support sustainability, if such reconfigurations are appropriately resourced and accessibility is prioritized. Investments in telehealth, particularly reconfiguring services through community-led linkages with larger medical systems, supports the sustainable development goal of universal access to healthcare.
    Type of Medium: Online Resource
    ISSN: 1460-2229
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2023
    detail.hit.zdb_id: 1484852-1
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 7
    Online Resource
    Online Resource
    CSIRO Publishing ; 2022
    In:  Australian Health Review Vol. 46, No. 5 ( 2022-9-8), p. 573-576
    In: Australian Health Review, CSIRO Publishing, Vol. 46, No. 5 ( 2022-9-8), p. 573-576
    Abstract: Objectives This pilot study aimed to explore the perceived benefits of a new children’s sensory garden in a healthcare centre in south-eastern Melbourne that provides specialised care, support and guidance to parents. Methods A mixed-method research design was employed in this study comprising a combination of quantitative (surveys) and qualitative (interviews) data collection methods. A total of 19 staff and 36 parents completed surveys relating to their experiences in the new garden. Results The staff members and parents surveyed were found to use the new children’s garden on a regular basis and suggested that the new garden provided them with an opportunity to escape and feel calmer and had positively impacted on their interactions with their child. Interviews were also undertaken with four staff members who indicated that they believe the new garden is affording them perceived personal wellbeing benefits and that the activities in the new garden led to better perceived outcomes for families. Conclusion The perceived benefits reported provide support for the development of sensory gardens at other similar healthcare facilities.
    Type of Medium: Online Resource
    ISSN: 0156-5788 , 1449-8944
    Language: English
    Publisher: CSIRO Publishing
    Publication Date: 2022
    detail.hit.zdb_id: 2082451-8
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 8
    In: Australian Journal of Social Issues, Wiley, Vol. 58, No. 1 ( 2023-03), p. 232-258
    Abstract: To describe hearing‐health service use, especially use of telehealth, during the early stages of the COVID‐19 pandemic in deaf/hard‐of‐hearing children. In 2020, the Victorian Childhood Hearing Longitudinal Databank surveyed 497 (61.6%) families of deaf/hard‐of‐hearing children aged 0.4–19.6 years, with 449 (90.3%) providing quantitative data and 336 (67.6%) providing free‐text comments about COVID‐19's impact on service use and access. We summarised quantitative data using descriptive statistics and analysed free‐text responses using inductive and deductive reasoning. Of the 1152 services families used during the pandemic, 711 (62%) were accessed via telehealth. Parents reported several challenges and facilitators of service access during the pandemic, particularly regarding telehealth. Parents reported that their child found telehealth appointments more difficult (347/665, 52.1%) and of worse quality (363/649, 55.9%) compared to in‐person. These difficulties were more evident in pre‐school than school‐age children. Consideration of these factors when implementing telehealth practice beyond the pandemic would improve family experiences, ensuring quality of care.
    Type of Medium: Online Resource
    ISSN: 0157-6321 , 1839-4655
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2067603-7
    SSG: 7,29
    SSG: 3,4
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 9
    Online Resource
    Online Resource
    Elsevier BV ; 2019
    In:  Urban Forestry & Urban Greening Vol. 40 ( 2019-04), p. 125-132
    In: Urban Forestry & Urban Greening, Elsevier BV, Vol. 40 ( 2019-04), p. 125-132
    Type of Medium: Online Resource
    ISSN: 1618-8667
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2019
    detail.hit.zdb_id: 2088186-1
    SSG: 23
    SSG: 12
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 10
    Online Resource
    Online Resource
    Royal College of Psychiatrists ; 2017
    In:  BJPsych. International Vol. 14, No. 4 ( 2017-11), p. 85-87
    In: BJPsych. International, Royal College of Psychiatrists, Vol. 14, No. 4 ( 2017-11), p. 85-87
    Abstract: The design of hospital environments with an increased focus on incorporating nature and natural features has been reported to have multiple health and well-being benefits. This paper reports on three Australian case studies that each investigated the relationship between green spaces and people's mental health. The results suggest that gardens or other green spaces should be included within plans for future healthcare design. While we acknowledge that there are a range of considerations in the allocation of healthcare resources and programmes for maximum benefit, we believe that those programmes which highlight the beneficial outcomes for people with mental illness of ‘feeling blue and touching green’ are worth implementing.
    Type of Medium: Online Resource
    ISSN: 2056-4740 , 2058-6264
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2017
    detail.hit.zdb_id: 2905058-3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...